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i <br /> i <br /> � <br /> NOTICE OF DEED RESTRICTIONS: The undersigned undergtands��.that_this..p�ermlf.may.be,subJect to,"deed"restrictions" <br /> which may 6e�mote�r.est�ictive-th�n County.regulatlons."�TNe under'signed assumes responsibility for c�ompliance with "any <br /> appllcable deed restrict(ons. � • _ ' . <br /> UNLICENSED CONTRACTORS �AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or <br /> contractors to undertake work, they may be:required-to be:licensed In accordance.w(th state:and•local regulations. If the <br /> contractor fs not Ifcensed as requlred'by law, tioth the owner and contraato��may be-cited for a�misdemeanor violation <br /> under state law. If the owner or Intended contracto� are uncertatn as to what Ilcensing.requirements may apply:�for the <br /> intended work, they are advised to contact the Pasco County Bullding"Inspectfon Diviston—Licensing:�ection at 727-847- <br /> 8009. Furthermore, If the owner has-hi�ed a,contracto� or contractors, he is advised to have the contractor(s), sign <br /> portions of the "contractor Block" of this application for which they will be.responsible. If you, as.the owner stgn as the <br /> cont�acbr, that tnay be an indication that he•(s not.properiy flcensed and is not entitled to perrriitting hrivileges fn Pasco � <br /> County. <br /> TRANSPORTATIOId.IMPACTIUTILITIES IMPAC7'ANb RESOU1tCE R@COVERY�FEE3: �The undersigned understands <br /> that Transportatiqn,ImpaCt,.,�ee's and:Recourse�Recoveiy:F�es,may�apply:to�the construction of nevv b�ildings,,change of <br /> use in existing buildings,'or expansion>of;exi§tiri�g•°�buildings, as specifled in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended.,.The undersigned also,understands, that such fees,-.as�may,be�due,:,wlll.be (denClfied at the time of <br /> permitting. It is furtFier understood that Transportatlon Impact Fees and Resource Recovery�Fees.must be pald prior to <br /> rece�ving a "certificate-of occupancy" or flnal powec release. :If the project does not Involve�a certiffcaQe of occupancy or <br /> final power release,the.fees must be paid prior,to permlt issuance. Ft�rthermore;;ff Pasco,County�V1Vater/Sewer Impact <br /> fees are due,they must be�paid.prior to permlE�issuance-In accordance with appllcable Pascv County o�dinances. <br /> CONSTRUCTION LIEN LAW(Gliapter 713� Florlda Statutes, as amended): If valuation of work is$;?,500.00 or more, I <br /> certify that I, the applicant,_ have-been -provid,ed with a copy- of the �"Florida��Constructlon� Llen.L"�wF—Homeowner's <br /> Protection Guide" prepared by�the Florida Department�of Agric.ulture and ConsumerA#fairs. If the applicant is someone <br /> other than the°owner", I certify that I�have..obtained�a copy.of.the above..described docu�ent�and promise in:good faith to <br /> deliver It to the."owne�',prior to•commencement:'��` � <br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certlfy.,that all the information In thl.s appl(cation is acc�rate and that all work <br /> will'be done in compliance with all applicable laws regulating construction, zoning and land developm�ent. Application is <br /> hereby made to obtain .a permit to do work:and installation as ind(cated.� °I certifjr that no work:or Installatlon has <br /> commenced prior to fssuance of a�perm(f and that'.all work will be pertormed to meet standards of ail laws �egulating- <br /> construction,,.County and City codes, zoMng regulatrQns, and land development regulatlons-in the�jvrisdtction. ( also <br /> certify that I �iiderstand that the regulations of other government agenc(es may�apply�to the intended�vork, and that it fs <br /> my responsibilit�to`li�entify�what.acttons I must take:to be,in:.corr�pliance: Such agencles,include but-ar�..not Iimtted to: , <br /> - Depart�ent;of Er�vironmental�Prote'ction=Cypress. Bayheads, Wetland Areas and Env(ronmentally Sensitive <br /> Lands,WatedWastewater Treatment. � <br /> - Southw�st-� Fiorida Water Management-:District-Welis, Cypress.`�Bayheads; Wetlan� Areas, Aitering <br /> Waterc�urses. ; <br /> - Army Corps of Engineers-Seawalls; Docks, Navtgable Waterways. <br /> - Department of Health'& Rehabifltative,$erv(ces/Environmental Health Unit:Wells� WastEjwtater�Treatment, <br /> Septic Tanks. � , <br /> - US Environmental Protectlon�Agency-Asbestos�batement. � _ � -� , <br /> Federal Aviatlon Authority-Runways:, �� ' <br /> I understand that the following,restrictlons apply to the use of flll:� <br /> - Use of�II Is not allowed in Flood Zone°V"unless expressly permitted. <br /> - If the flll materiaF is to be used: in :Flood Zone. "A", tt. ts understood that a drainage F�lan addressing a <br /> "compensating volume" will be submitted at time of permitttng whlch is prepared by a prolfessfonal engineer <br /> licensed by the State of Florlda: <br /> - If the fill material is to be used In Flood Zone "A" (n�connectfon wlth'.a pecmitted buildin� using stem wall <br /> construction, I certify that fill�:wJll:b.e u'sed only.to#ill the area within the stem vvall. <br /> - If fill material is to be used in any area, i- certify that use. of such flll will not adversely affect adJacent <br /> properties. If use of flll Is found to adversely:�fFect adJacent properties;.the owner may be'cited for viofating <br /> the condi#ions of the buflding:permit Issued�under the attached permit applicatlon, for Iots�less than one (1) <br /> acre which are elevated�by flll,an engineered dralnage plan is required. . <br /> If I am the AGENT FOR THE OWNER, I,�promise In good faith to inform the owner of�the permitt(ng coRditions set forth (n <br /> this affidavit�prior to commer�cing construction. I.understand thata-separate permtt may be requtred for electrical work, <br /> plumbing, signs, wefls, pools, air conditioning, .gas, or other Installations not.spectfically included�in'tR%e application. .A <br /> permiE Issued shall be construed to be a°Ifcense'�to.p�oceed with the work and not as authority to.violat�;cancel, alter, or <br /> set aside any prov(sions,of:,the technical codes; nor shall issuance�of a.permit.prevent the Bulldirig Offl�tal from thereafter � <br /> requiring a correctlo��nf'er'ro�s in�plans, consfruction or violations of any codes. Every permlt issued shall become invalid <br /> unless the work authorized by such perm(t•Is-commenced�wtthin sfx months of permit issuance, or if�nrork authorized by <br /> the permit is suspended or.abandoned for a.period of stx(8)montF�s.after the time the�work ts commenced. An extension <br /> _ _may_be_requested, in writing�_from_the_Building_Offlcial_f.or_a_period_not_to_exceed_ninety_�(90)_days_and�will_demonstrate_ __ __ <br /> justlfiable cause for.the extensior�. If work ceases:for ninety(90)consecutive:days�..the Job�is considered�aba�doned. <br /> WARNING TO OWNER: YOUR.FAILURE-TO.REC.ORD A NOTIGE OF�COMMENCEMEMT MAY-RESULT IN YOUR <br /> PAYING TWICE.FOR IMPROVEMENTS TO YOUt�PROPERTY. IF°YO.U�IN��'END'�TO�OBTAIN�FIPtANE1NG;�CONSULT <br /> WIT YOUR LE D� O AW � FORE�RECOR�D G`YOU ' O �C ° T <br /> FLORIDA JURAT(F.S.1.17.0 i <br /> OWMER OR CONTRAC <br /> Subscrib mrie before me thls i Subscrib ' or a rtned)�before me tFils <br /> �by <br /> Who is/are personally known to.me or has/have produced � Who.is/are personallyJcnown to me or haslhave�produced • <br /> as Identlflcatlon. , as IdenNflpOon. <br /> � ' �I <br /> Notary Public . � _Notary Publlc <br /> � <br /> Co slon No ' Com <br /> ,.���"•t�G�, � • � ��Y�' JOEL E.BACON ' <br /> .: Commission#FF 137073 ; ;°�'p` ��: <br /> Na e o/Notary " � � f �p{p�g�� � '� Name � �rp��i��cgc�s�ed <br /> ' R�.?.� Bm�dnd Tlw iray Fein Insurenrn 800.3BSTOt9 �I '.� �, <br /> �'�i' , ` � .,p,,,.. 9uidoE ThN Troy Fein Inauruice 800-385 70f9 ' <br /> I <br /> . i <br /> I <br /> I i <br />,I i <br />� � <br />